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NPI Code Detail

MEDICARE: LOVELACE HEALTHCARE CENTER-MONTGOMERY

MEDICARE: LOVELACE HEALTHCARE CENTER-MONTGOMERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1093811853
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVELACE HEALTHCARE CENTER-MONTGOMERY
Provider Business Mailing Address
First Line : 9101 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2405
Country : US
Telephone Number : 505-275-4288
Fax Number : 505-275-4203
Provider Business Practice Location Address
First Line : 9101 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2405
Country : US
Telephone Number : 505-275-4288
Fax Number : 505-275-4203
Authorized Official
Title or Position : CEO
Name : HARRY MAGNES
Credential : MD
Telephone Number : 505-262-3085
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/22/2020

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Directions to “LOVELACE HEALTHCARE CENTER-MONTGOMERY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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